Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instability during deployment. Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique. © 2012 The Society of Thoracic Surgeons.
Total endovascular repair of an aortic arch aneurysm using an externalized transseptal guidewire technique / Rheaume, Pascal; Perini, Paolo; Daligault, Mickael; Maurel, Blandine; Sobocinski, Jonathan; Azzaoui, Richard; Laghzaoui, Mohamed Amine; Brigadeau, Franois; Haulon, Stéphan. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - 93:5(2012), pp. 1710-1713. [10.1016/j.athoracsur.2011.10.030]
Total endovascular repair of an aortic arch aneurysm using an externalized transseptal guidewire technique
Perini, Paolo;
2012-01-01
Abstract
Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instability during deployment. Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique. © 2012 The Society of Thoracic Surgeons.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
